| NPI | 1346260791 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MN 46176) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: WA 60071752) |
| 207R00000X Internal Medicine (Licence: WA 60071752) | |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2024-07-10 |